A Psychiatrist Explains The Difference Between The 2 Types Of Trauma

As the zeitgeist moves toward healing, self-awareness, and emotional intelligence, "trauma" has become somewhat of a buzzword in the well-being world. We've talked with many doctors and experts about the implications a traumatic event can have on mental health and the best ways to heal (a conversation we had with Kelly Turner, Ph.D., and Lissa Rankin, M.D., can be found at the end of this article).

"Big T trauma" is more severe and comes from a life-threatening event, like sexual assault or physical abuse. "Little t trauma" is more subtle and personal, which Cohen says causes it to often be overlooked: "Maybe it's within the family, and one of the kids is put on a pedestal while the other is neglected over the years. Or maybe it's having a narcissistic parent."

"A lot of times," Cohen says, "we're redefining for patients what trauma actually is." So, once you understand what kind of trauma you're dealing with, you can begin taking steps to heal.

One common and proven method for working through trauma is EMDR, or eye movement desensitization and reprocessing. It's a method of rewiring the brain's trauma response through visual techniques, and over time, the brain learns to react to triggers appropriately instead of reliving the same emotional or somatic response they've always had.

Different forms of therapy can also be used in healing trauma, such as cognitive behavioral therapy, hypnotherapy, and psychodynamic therapy.

As far as lifestyle choices people can make when healing, Cohen stressed the importance of community. "In grief, say, losing a spouse, for example, meeting other people who have been through it and have risen and have continued live past that trauma is really helpful," she says. "Group therapy can also be really helpful, you know, just having that sense of community."